RESPONSE LETTER TO INTERESTED PERSONS.
Tex. INS Code § 4201.358.
in effectThe procedures for appealing an adverse determination must provide that, after the utilization review agent has sought review of the appeal, the agent shall issue a response letter explaining the resolution of the appeal to:
(1) the patient or a person acting on the patient's behalf; and
(2) the patient's physician or other health care provider.
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017 ), Sec. 4, eff. April 1, 2007.
